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Louisiana rates for HCPCS 25622

Closed treatment of carpal scaphoid (navicular) fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $2,570.40 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $489.78 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $501.19
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $501.19 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $316.23 / $524.81